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TMPRSS2 gene polymorphism common in East Asians confers decreased COVID-19 susceptibility.

ABSTRACT: COVID-19 has a wide range of clinical presentations, and the susceptibility to SARS-CoV-2 infection and the mortality rate also vary by region and ethnicity. Here, we found that rs12329760 in the TMPRSS2 gene, a missense variant common in East Asian populations, contributes to protection against SARS-CoV-2 infection. TMPRSS2 is a protease responsible for SARS-CoV-2 entry and syncytium formation. rs12329760 (c.478G>A, p. V160M) was associated with a reduced risk of moderate symptoms. The enzymatic activity of Met¹⁶⁰-TMPRSS2 was lower than that of Val¹⁶⁰-TMPRSS2, and thus the viral entry and the syncytium formation of SARS-CoV-2 were impaired. Collectively, these results indicate that the genetic variation in TMPRSS2, which is common in East Asians, is one of the molecular determinants of COVID-19 susceptibility.

SUBMITTER: Sekiya T

PROVIDER: S-EPMC9748344 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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<i>TMPRSS2</i> gene polymorphism common in East Asians confers decreased COVID-19 susceptibility.

Sekiya Takeshi T Ogura Yukino Y Kai Hirayasu H Kawaguchi Atsushi A Okawa Shino S Hirohama Mikako M Kuroki Takahiro T Morii Wataru W Hara Akira A Hiramatsu Yuji Y Hitomi Shigemi S Kawakami Yasushi Y Arakawa Yoshihiro Y Maruo Kazushi K Chiba Shigeru S Suzuki Hiromichi H Kojima Hiroshi H Tachikawa Hirokazu H Yamagata Kunihiro K

Frontiers in microbiology 20221130

COVID-19 has a wide range of clinical presentations, and the susceptibility to SARS-CoV-2 infection and the mortality rate also vary by region and ethnicity. Here, we found that rs12329760 in the <i>TMPRSS2</i> gene, a missense variant common in East Asian populations, contributes to protection against SARS-CoV-2 infection. TMPRSS2 is a protease responsible for SARS-CoV-2 entry and syncytium formation. rs12329760 (c.478G>A, p. V160M) was associated with a reduced risk of moderate symptoms. The e ...[more]

PMID: 36532428

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Project description:BackgroundThe human protein transmembrane protease serine type 2 (TMPRSS2) plays a key role in SARS-CoV-2 infection, as it is required to activate the virus' spike protein, facilitating entry into target cells. We hypothesized that naturally-occurring TMPRSS2 human genetic variants affecting the structure and function of the TMPRSS2 protein may modulate the severity of SARS-CoV-2 infection.MethodsWe focused on the only common TMPRSS2 non-synonymous variant predicted to be damaging (rs12329760 C>T, p.V160M), which has a minor allele frequency ranging from 0.14 in Ashkenazi Jewish to 0.38 in East Asians. We analysed the association between the rs12329760 and COVID-19 severity in 2,244 critically ill patients with COVID-19 from 208 UK intensive care units recruited as part of the GenOMICC (Genetics Of Mortality In Critical Care) study. Logistic regression analyses were adjusted for sex, age and deprivation index. For in vitro studies, HEK293 cells were co-transfected with ACE2 and either TMPRSS2 wild type or mutant (TMPRSS2V160M). A SARS-CoV-2 pseudovirus entry assay was used to investigate the ability of TMPRSS2V160M to promote viral entry.ResultsWe show that the T allele of rs12329760 is associated with a reduced likelihood of developing severe COVID-19 (OR 0.87, 95%CI:0.79-0.97, p = 0.01). This association was stronger in homozygous individuals when compared to the general population (OR 0.65, 95%CI:0.50-0.84, p = 1.3 × 10-3). We demonstrate in vitro that this variant, which causes the amino acid substitution valine to methionine, affects the catalytic activity of TMPRSS2 and is less able to support SARS-CoV-2 spike-mediated entry into cells.ConclusionTMPRSS2 rs12329760 is a common variant associated with a significantly decreased risk of severe COVID-19. Further studies are needed to assess the expression of TMPRSS2 across different age groups. Moreover, our results identify TMPRSS2 as a promising drug target, with a potential role for camostat mesilate, a drug approved for the treatment of chronic pancreatitis and postoperative reflux esophagitis, in the treatment of COVID-19. Clinical trials are needed to confirm this.

Dataset Information

TMPRSS2 gene polymorphism common in East Asians confers decreased COVID-19 susceptibility.

Publications

<i>TMPRSS2</i> gene polymorphism common in East Asians confers decreased COVID-19 susceptibility.

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